Jueves, 23 Marcha, 2017

House panel approves troubled GOP healthcare bill

Republicans Hate The 'Cadillac Tax,' But Their Health Care Plan Won't Repeal It Gutierrez says 'hundreds of Republican amendments' were a part of Obamacare
Cris De Lacerda | 21 Marcha, 2017, 00:48

The Idaho House passed a joint memorial Wednesday calling on Congress to replace the Affordable Care Act with a health care system that is regulated by the states, not the federal government, and that will "immediately permit the free market availability and sale of nonsubsidized health insurance plans in accordance with state-established statutes". Worse, some seem supportive.

House Republicans leaving a White House meeting with Trump, as well as a Capitol Hill meeting with House Speaker Paul Ryan and Health and Human Services Secretary Tom Price, listed several changes they expect to be made in order to attract both moderate and conservative party members who are now waffling about their support.

Republicans remain deeply divided over their US healthcare overhaul, which is Trump's first major legislative initiative and aims to fulfill his campaign pledge to repeal and replace the healthcare program of his Democratic predecessor, Barack Obama. For children, this health bill is not a budget exercise.

The study comes on the heels of a Congressional Budget Office projection that the recently introduced American Health Care Act (AHCA) would cause 24 million people to lose their insurance over 10 years, while reducing the federal deficit by about $337 billion.

We chose to look into Gutierrez's claim that the final version of the Affordable Care Act incorporated hundreds of Republican amendments. Without the ACA's adjustment for geography, that 50-year-old would likely end up paying more out of pocket if he lived in a part of Idaho where health care tends to be pricier - such as Eastern Idaho or a rural county.

A contingent of House Republicans is trying to push the nation's health insurance program for poor and vulnerable Americans deep into conservative territory, past a firewall that the Obama administration maintained for eight years.

Since Obamacare's enactment, those complaints have subsided. About 11 million of those beneficiaries are people with somewhat higher incomes who joined in the past three years through the ACA expansion.

The results would be even better if not for relentless campaigning by conservative political groups, in concert with Republican elected officials, to file lawsuits, curtail funding for high-cost patients, and spread misinformation about Obamacare.

In states that did expand Medicaid, working-class African-Americans have seen a significant amount of the benefit. The supposed Obamacare "disaster" was a self-fulfilling prophesy of sabotage.

He said that while the picture so far isn't good for Virginia, it also doesn't seem like the GOP plan as proposed was gaining much traction in Washington.

Worse, as written, the GOP plan would guarantee coverage without insisting on an individual mandate. It retains the most popular features of Obamacare: allowing young people to stay on their parents' plan until they're 26; protecting persons with pre-existing conditions; prohibiting insurance companies from placing a cap on protection for serious illness.

- Combined with scaled-back Medicaid coverage and reduced subsidies in Ryancare, "the change in structure will dramatically increase premiums for older consumers", the AARP concluded.

The nonpartisan Congressional Budget Office last week estimated 24 million Americans would lose coverage. Before 2014, older people paid five times the premium.

- Insurers are allowed to do an "age rating" in pricing private policy premiums.

They wrote the current GOP proposal's approach to Medicaid "provides nearly no new flexibility for states, does not ensure the resources necessary to make sure no one is left out, and shifts significant new costs to states".

Under Obamacare, insurance companies are limited in what plans they can offer on the exchanges. But that's a bad bet. The Affordable Care Act was a private market plan, and it dropped a long-held Democratic priority to include a public option.